Manifolding-pad.



H. S. GREEN. MANIFOLDING PAD.

APPLICATION FILED 001'. s. 1908.

945,323. Patented Jan. 4, 1910.

2 SHEETS-SHEET 1.

H. S. GREEN. MANIFOLDING PAD. APPLICATION FILED 001'. 3, 1908.

Y /44, air/1474.

Patented Jan. 4, 1910. a SHEETS-SHEET},

[4% an 4/01; fi Zyf/J 5 4d,

FIREB: MA

On the .1) household ....0n Vehides In Conaideraiio Dal/0r; Prem/ums ZMP/ZWJAIA HERBERT s. GREEN,

" citizen of the United States, residing uurrnn s'rarus PATENT OFFICE.

i :1 MARINE INSURANCE MINNESOTA.

OF ST. PAUL, MINN COMPANY, OF ST. PAUL,

Specification of Letters Patent.

ESOTA, ASSIGNOR TO SAINT '.PAUL FIRE &

MINNESOTA, A CORPORATION OF MANIFOLDING-PAD.

Patented Jan. 4, 1910.

Application filed October 3, 1908. Serial No. 456,091.

To all whom'it may concern: I Be it known that l, HERBERT S. GREEN, a at St. Paul, in the county of Ramseyand State of Minnesota, have invented certain new and useful Improvements in Manifolding-Pads,

" of which the following is a specification.

whole may be detached copy to the My invention relates to improvements in 1nsurance policy manifolding pads for blanks and other documents where it is de sired to take one or more exact impression copies of the original document, its object being to secure the sheets of original and duplicates to each other and to the pad in such way that the set as a from the pad without detaching the separate sheets from each other or disturbing their relation to one another.

- The invention is particularly designed for insurance policy blanks, as illustrated in the drawings, but may be applied to other documents which are handled in the same way.

Insurancepolicies are commonly written by the agents upon standard printed forms supplied by the company, in which blank spaces are left to be filled in with the special facts of the particular risk to be underwritten. It is customary for the agent to take a copy of the material parts of the policy for his own files and to send another company. This is done in various ways, but it will be evident that if the copies are made by taking carbon impressions upon duplicate forms printed to correspond with the original, it is necessary to hold the sheets in exact alinement.

sheets from which sheets in course of removal, Fig. 3 is a perspective view of a fragment of a detached set ready to receive entries; Fig. 4 1s a detail showing the sheets in course of detachment from one another after the entries have been made; Fig. 5 1s a perspective view of a set of sheets with the sheets lifted from forming each set one another and partly broken away, and Fig. 6 is a top view of a set of sheets partly broken away to show the alinement of the printed matter upon them.

Referring to the drawings, ing set comprises a plurality of sheets arranged one upon another and pasted or otherwise secured together along one edge, preferably at the foot, to form a common securing strip 2. In the form shown in the drawings, which is particularly adapted for double sheet insurance policies where two carbon impressions are to be taken, there are three such sheets 3, 4 and 5, respectively, and the bottom sheet 3 has an extension leaf 6, which is folded over upon the face -of-the other sheets with its lower edge free. In this form the extension'leaf thus becomes the original entry sheet, but it will be understood that however the sheets are arranged the top sheet will necessarily be the original.

The securing strip is separated or set off from the main body of each of the sheets secured to it by a perforated or otherwise weakened line 7: These lines register with one another so that all of the sheets can be torn off in a body from the securing strip, as illustrated in Fig. 4. One of these sheets, preferably the bottom sheet 3, as shown in the drawings, is extended beyond the securing strip to form a terminal binding tab 8,

each manifoldiii which is separated from the strip by a weakened line 9.

Upon the face of the top sheet, here the extension leaf 6, is printed the original policy or other document form, While upon one or more of the underlyin sheets-4 and 5 is printed a duplicate or duplicates thereof: In assembling the sheets of each set, the are placed one u matter and b ank spaces uponeach sheet will register with the correspondingprinted matter and blank spaces'upon eac sheets, as shown in Fi 6. In this way it is possible to use rinte blanks for the duplicate sheets. hen the sheets are so'assembled they are pasted together along one edge to form the securing strip as above'described.

The sets so formed are then laid one upon on another so that the printed of the other another and the alining tabs 8 are bound to- Fig. 2. After the sheets are detached from the pad they will still .be held together by means of the securing strip 2. 'The sheets may then be lifted and carbon impression sheets 14 placed between them, as shown in Fig. 3. After the necessary matter has been filled in upon the original, or 11 per, sheet, the sheets may be torn as a who e from the securing strip along the weakened line 7, and theoriginal and duplicate sheets separated and disposed of as may be desired.

I claim as my invention:

1. A manifolding pad comprising a plurality of sets of sheets, each set. comprising an original sheet folded over upon itself and a plurality of duplicate sheets arranged within said fold, the back leaves of the original sheets being bound together at their unfolded ends to make a pad, being formed near their bound ends with two parallel spaced lines of scoring to form a detachable securing strip, and the duplicate sheets being pasted at their lower ends upon'the securing strip between said parallel scorings,

and being formed with scored lines along the upper edge of the stripregistering with the upper scored,line of the back leaf of the original sheet, whereby the securing strip can be detached as a .who1e so as to release from each other all of the sheets comprising the set. v

I 2. A manifolding. pad comprising a plurality of sets of original and duplicate sheets, the sheets of each set being secured together along one edge to form acommon securing strip, and one of the sheets of each set having a binding tab projecting beyond the securing strip, said sheetshavmg substantially registering. weakened linesalong the inner side of the strip to facilitate the separation of the sheets therefrom, and each tab' having a weakened line along theother side of the strip to facilitate detachment of the set as a whole. In testimony whereof I afiix my signature in presence of two witnesses.

HERBERT s. GREEN.

Witnesses:

HATTIE SMITH, ABTHUR' P. LOTHROP. 

